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大鼠中表皮生长因子对肾小球作用的证据。

Evidence for glomerular actions of epidermal growth factor in the rat.

作者信息

Harris R C, Hoover R L, Jacobson H R, Badr K F

机构信息

Department of Medicine, Veterans Administration Medical Center, Nashville, Tennessee.

出版信息

J Clin Invest. 1988 Sep;82(3):1028-39. doi: 10.1172/JCI113659.

Abstract

Epidermal growth factor (EGF), an endogenous mitogenic peptide, has recently been shown to be a potent vasoconstrictor of vascular smooth muscle. In view of its potential role in proliferative and inflammatory renal glomerular diseases, we examined the effects of EGF both on cultured rat mesangial cells and on in vivo glomerular hemodynamics. Mesangial cells possess specific, saturable EGF receptors of differing affinities, with Kd's of 0.1 and 1.7 nM, respectively. EGF produced a rapid increase in intracellular pH of 0.12 +/- 0.01 pH U, which was sodium dependent and amiloride inhibitable. The addition of EGF to mesangial cells cultured on either glass or dimethylpolysiloxane substratum induced reproducible cell contraction. Intrarenal EGF infusion did not affect systemic blood pressure or hematocrit but reversibly decreased GFR and renal blood flow from 4.19 +/- 0.33 to 3.33 +/- 0.26 and from 1.17 +/- 0.09 to 0.69 +/- 0.07 ml/min, respectively. Glomerular micropuncture confirmed decreases in single nephron plasma flow and in single nephron GFR (from 142 +/- 9 to 98 +/- 8 and from 51.6 +/- 11.7 to 28.5 +/- 3.5 nl/min, respectively) which were due to significant increases in both pre- and postglomerular arteriolar resistances (from 1.97 +/- 0.31 to 2.65 +/- 0.36 and from 1.19 +/- 0.11 to 2.00 +/- 0.15 10(10) dyn.s.cm-5 respectively) and to a significant decrease in the ultrafiltration coefficient, Kf, which fell from 0.100 +/- 0.019 to 0.031 +/- 0.007 nl/(s.mmHg). These studies demonstrate that mesangial cells possess specific receptors for EGF, and exposure of these cells to physiologic concentrations of EGF results in an in vitro functional response characterized by activation of Na+/H+ exchange and by resultant intracellular alkalinization, as well as by cell contraction. EGF administration in vivo significantly reduces the glomerular capillary ultrafiltration coefficient, Kf, which, in combination with EGF-induced constriction of both preglomerular and postglomerular arterioles, results in acute major reductions in the rates of glomerular filtration and perfusion.

摘要

表皮生长因子(EGF)是一种内源性促有丝分裂肽,最近已被证明是血管平滑肌的一种强效血管收缩剂。鉴于其在增殖性和炎症性肾小球疾病中的潜在作用,我们研究了EGF对培养的大鼠系膜细胞和体内肾小球血流动力学的影响。系膜细胞具有不同亲和力的特异性、可饱和的EGF受体,其解离常数(Kd)分别为0.1和1.7 nM。EGF使细胞内pH值迅速升高0.12±0.01 pH单位,这是钠依赖性的且可被氨氯地平抑制。向在玻璃或二甲基聚硅氧烷基质上培养的系膜细胞中添加EGF可诱导可重复的细胞收缩。肾内输注EGF不影响全身血压或血细胞比容,但可逆地降低肾小球滤过率(GFR)和肾血流量,分别从4.19±0.33降至3.33±0.26以及从1.17±0.09降至0.69±0.07 ml/min。肾小球微穿刺证实单个肾单位血浆流量和单个肾单位GFR降低(分别从142±9降至98±8以及从51.6±11.7降至28.5±3.5 nl/min),这是由于肾小球前和肾小球后小动脉阻力均显著增加(分别从1.97±0.31升至2.65±0.36以及从1.19±0.11升至2.00±0.15×10¹⁰ dyn·s·cm⁻⁵)以及超滤系数Kf显著降低,Kf从0.100±0.019降至0.031±0.007 nl/(s·mmHg)。这些研究表明系膜细胞具有EGF的特异性受体,并且将这些细胞暴露于生理浓度的EGF会导致体外功能性反应,其特征为Na⁺/H⁺交换激活、随之而来的细胞内碱化以及细胞收缩。体内给予EGF会显著降低肾小球毛细血管超滤系数Kf,这与EGF诱导的肾小球前和肾小球后小动脉收缩相结合,导致肾小球滤过率和灌注率急剧大幅降低。

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